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NPI Code Detail

MEDICARE: MS. NIKKI ELIZABETH BROWDER

MEDICARE: MS. NIKKI ELIZABETH BROWDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225CX0006XOrientation and Mobility Training Rehabilitation Counselor
2305S00000XPoint of Service

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629574850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NIKKI ELIZABETH BROWDER
Provider Business Mailing Address
First Line : 3453 COURVILLE ST
Second Line :
City : DETROIT
State : MI
Zip : 48224-2702
Country : US
Telephone Number : 313-828-7696
Fax Number :
Provider Business Practice Location Address
First Line : 19211 ANGLIN ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-1460
Country : US
Telephone Number : 313-263-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2018
Last Update Date : 04/05/2018

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